Questions 49

ATI RN

ATI RN Test Bank

ATI N230 Exam 3 with NGN Maternal Newborn Exam Questions

Extract:

A nurse is caring for a client who is postpartum who asks the nurse when her breast milk will 'come in.'


Question 1 of 5

Which of the following responses should the nurse make?

Correct Answer: A

Rationale: Milk typically transitions to mature milk 3-5 days postpartum, aligning with the onset of copious milk production.

Extract:

A nurse on the labor and delivery unit is caring for a newborn immediately following birth.


Question 2 of 5

Which of the following actions by the nurse reduces evaporative heat loss by the newborn?

Correct Answer: A

Rationale: Drying the skin removes moisture, directly reducing evaporative heat loss, which is critical for maintaining the newborn's body temperature.

Extract:

A nurse is caring for a client 2 hours after a spontaneous vaginal birth, and the client has saturated two perineal pads with blood in a 30-minute period.


Question 3 of 5

Which of the following is the priority nursing intervention at this time?

Correct Answer: D

Rationale: Palpating the fundus assesses for uterine atony, a common cause of excessive postpartum bleeding, making it the priority to guide further interventions.

Extract:

A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding.


Question 4 of 5

Which of the following statements by the client indicates a need for further teaching?

Correct Answer: B

Rationale: Hot packs during feeding can worsen engorgement by increasing blood flow; ice, cabbage leaves, and frequent feeding are appropriate measures.

Extract:

A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rh (D) immunoglobulin.


Question 5 of 5

Which of the following should be included in the teaching?

Correct Answer: A

Rationale: Rh (
D) immunoglobulin prevents Rh-negative mothers from forming antibodies against Rh-positive fetal blood, protecting future pregnancies from hemolytic disease. It does not destroy antibodies or affect the newborn directly.

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